FOUNDATION SURGERY AFFILIATES OF S.W. HOUSTON LLC
Surgery Yellow Pages
Houston, Texas
Provider NPI: 1811970494
Organization Information:Organization Name: FOUNDATION SURGERY AFFILIATES OF S.W. HOUSTON LLC
Practice Location:
8111 SOUTHWEST FWY HOUSTON, TX 77074 US
Tel: 713-272-6300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
8111 SOUTHWEST FWY HOUSTON, TX 77074 US
Tel: 713-272-6300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TX | 007215 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
FACILITY LICENSE | 007215 | TX | 01 |
DPS | 20117145 | TX | 01 |
PHARMACY LICENSE | 20526 | TX | 01 |
THCIC | 721500 | 01 | |
MEDICARE | ASC091 | TX | 01 |
DEA | BD 6933558 | 01 | |
0879868-01 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin